2013 MA Application for ACCA membership Registration number In order to meet ACCA s membership requirements you must have: Completed the ACCA Qualification exams. Demonstrated effectiveness and achievement in the workplace by meeting ACCA s performance objectives having had your work overseen and agreed by a workplace mentor/training supervisor. Achieved 36 months of relevant supervised experience. Completed the Professional Ethics module. ACCA will already hold information relating to your practical experience if you you have been updating your My Experience record via myacca. Please indicate here if you have completed your experience with a gold or platinum level ACCA Approved Employer and are claiming the performance objective exemption. Please provide the name of your Approved Employer If you are claiming the performance objective exemption on the basis of working for a platinum or gold level ACCA Approved Employer (trainee development stream) you will be required to complete and return an Approved Employer performance objective exemption form along with your application. This can be downloaded from www2.accaglobal.com/documents/ae_tdm.pdf. Please retain a copy of this form in case it is required to validate your membership application. ACCA retains the right to independently seek verification from the Approved Employer. Please indicate here if any of your practical experience has been achieved in a lecturing role. Please indicate here if any of your practical experience has been achieved in a part-time role. Please indicate here if you completed the Hong Kong Institute of Certified Public Accountants PER requirements. Please return this form to Operational Delivery ACCA 2 Central Quay 89 Hydepark Street Glasgow G3 8BW United Kingdom fax: +44 (0)141 582 2222 email: members@accaglobal.com
personal details Forename(s) Surname Date of birth (DD MM YYYY) Honours (classification) PLEASE COMPLETE THE FOLLOWING SECTIONS ONLY IF YOUR DETAILS ARE DIFFERENT FROM THOSE CURRENTLY HELD BY ACCA. New residential address Number/Street Town/City County/State Postcode Country Mobile tel no (incl area code) New business address Job title Company name Number/Street Town/City County/State Postcode Country Business tel no (incl area code) Please indicate the address to which you wish your ACCA correspondence to be sent: Residential Business Do you wish your town and country of residence to appear in the online Directory of members?: Yes No 2
communications and marketing Receiving communications from ACCA This section sets out certain information and options on how ACCA may communicate with you, the types of information ACCA may send to you and the extent to which ACCA will discuss your details with certain third parties. Email address Your email address will be used for outbound emails. It must be unique to you and not shared. It is your responsibility to ensure that your email address is correct. ACCA will not accept responsibility for emails being sent to email addresses which are no longer used, which are incorrectly formatted, or which are publicly available. Email Upon admission to membership you will automatically receive a copy of the ACCA Rulebook in CD-ROM format. This is also available online at www.accaglobal.com/en/member/professional-standards/rules-standards/acca-rulebook.html Communication methods ACCA may communicate with you by e-communications (including email and SMS), phone or by post using the contact details provided by you. E-communications are ACCA s preferred method of sending publications, promotional information and updates, and affiliate/member account correspondence. Please choose one of the following options I would like to receive all correspondence from ACCA by paper I would like to receive all correspondence from ACCA by e-communications (including my affiliate/member account correspondence) I would like to receive publications and promotional information and updates by e-communications but still receive my affiliate/member account correspondence by paper ACCA employers ACCA often communicates with employers to discuss improvements and ways in which ACCA can provide enhanced support for members and students. When communicating with employers it is often helpful to provide a list of ACCA members and trainees who are working at that company I do not wish ACCA to pass my details to employers in this way Third party mailings ACCA would like to keep you informed of products and services from third party organisations that may be of interest, relevance or benefit to you in your studies and career development. All third party organisations are strictly vetted and the mailing/email list is never supplied directly to them. All campaigns are carried out by ACCA or an ACCA approved agency. I do not wish to receive material from third party marketing organisations. members network A member in the UK or Ireland will normally be enrolled with the regional members network covering his/her residential address, which will involve receiving mailings directly from that network. If you do not wish to be enrolled, please cross here. A member in the UK or Ireland will normally be enrolled with the employment based members network covering his/her employment category, which will involve receiving mailings directly from that network. If you do not wish to be enrolled, please cross here. 3
employment category Which best describes your organisation? National organisation Presence in 2 10 countries Multinational organisation Public practice Please indicate here if you work in public practice. Please indicate here if you sign or produce any accounts or report or certificate or tax return concerning any persons/organisations financial affairs that may be relied upon by a third party. Nature of firm If all of the partners/directors are members of ACCA, the firm is Chartered Certified. If all of the partners/directors are members of one, or more, of the Institutes of Chartered Accountants in England and Wales, Ireland or Scotland, the firm is Chartered. If all of the partners/ directors are members of ACCA and one, or more, of the above-mentioned Institutes, the firm is Mixed Chartered/Certified. If all of the partners/directors are members of the Association of Authorised Public Accountants, the firm is Authorised. Any other combination of partners/directors, including firms with unqualified partners, is Other. Chartered Certified Mixed Chartered Certified/Chartered Chartered AAPA Job category Which one of the categories below best describes your work? General practising services OR specialising in: Audit Insolvency Taxation Number of partners/directors Management consultancy Sole practitioner 2 3 4 6 7 9 10 99 100+ Information technology Note on obtaining a practising certificate If you wish to use up to one year of your pre-membership experience towards your eligibility for an ACCA practising certificate or ACCA practising certificate and audit qualification the experience should be obtained in an ACCA Approved Employer practising certificate development and your workplace mentor must be the training principal or partner. For an ACCA practising certificate and audit qualification your workplace mentor or training supervisor must be an audit principal and your experience must be documented in a Practising Certificate Training Record. ACCA reserves the right to request additional information as deemed necessary. INDUSTRY, COMMERCE OR PUBLIC SECTOR If you work in industry, commerce or public sector cross this box. Business category Which one of the categories below best describes your employment? Retail/Consumer Energy and utilities Manufacturing/Industry/Engineering Transport/Distribution Professional services IT/Communications Pharmaceuticals/Healthcare Leisure/Tourism/Travel Banking Insurance/Investment Education Local government National government Not for profit Health Job category Which one of the categories below best describes your work? Internal auditing General management Data processing/management Management accounting Company secretarial Taxation Financial management/treasurership Financial accounting Number of people in organisation 1 10 11 50 51 250 251 2000 2001+ NOT EMPLOYED If you are not employed please cross this box. 4
declaration I wish to apply for ACCA membership and I confirm that I have completed the ACCA practical experience requirement (PER) as specified in the Chartered Certified Accountants Regulations. I understand that if selected for a practical experience audit I will be required to provide evidence of meeting ACCA s practical experience requirements. I have read Byelaw 8, liability to disciplinary action, and I confirm there is nothing I should bring to ACCA s attention at the present time. I agree that while I am a member of ACCA I will notify ACCA about any event which may engage ACCA Byelaw 8 and make me liable to disciplinary action. I agree to comply with ACCA Charter, Byelaws, Regulations and Code of Ethics and Conduct from time to time in force. I understand that the UK Rehabilitation of Offenders Act 1974 does not apply to the accountancy profession, and that I am therefore required to disclose spent convictions. I undertake that, if admitted as a member, I will, so long as I remain a member of ACCA, abide by the byelaws and all regulations made there under. I further undertake that I will use the designation Chartered Certified Accountant and the designatory letters ACCA (or FCCA when I become a fellow) only while I remain a member of ACCA and, where required by the Chartered Certified Accountants Global Practising Regulations, only if I hold a practising certificate. I am aware of the importance of professional values, ethics and behaviours and my obligation to ACCA s code of ethics. I acknowledge my duty to maintain the quality of my knowledge and will undertake adequate continuing professional development as directed by Council and specified in the Chartered Certified Accountants Membership Regulations. I am aware that failure to comply with certain continuing professional development requirements may lead to removal from the register of members. I agree to pay the membership admission fee ( 205 in 2013) and understand that I will be invoiced for this amount on successful conversion to ACCA membership. I declare that I have read and fully understood the declaration. I am aware that failure to pay sums due to ACCA may lead to removal from the register of members. I declare that the information contained in this application is true, accurate and complete to the best of my knowledge and belief. I acknowledge that any statement contained therein which is known by me to be false may invalidate this application and any decision reached thereon by the Council of ACCA. Signature Date additional notes As a guideline, ACCA considers full-time work experience to be 140 hours per month. 1540 hours of part-time work equates to 12 months of full-time work experience. This discounts annual leave etc. If any of your relevant experience has been achieved in a part-time role please enclose a breakdown of the hours worked together with your application. Up to 12 months lecturing experience can count towards the PER for membership. The lecturing experience must be at a level at least equivalent to the Fundamentals level of the ACCA Qualification and cover basic accounting, business studies and finance-related subjects. If any of your relevant experience has been achieved in a lecturing role please enclose detail of the subjects and level taught together with your application. If you work in public practice and you sign or produce any accounts or report or certificate of tax return concerning any person/ organisations financial affairs that may be relied upon by a third party please enclose a current job description together with your application. Any member who undertakes work falling within ACCA s definition of public practice must hold a Practising Certificate from ACCA even if a Practising Certificate is held from another body. 5